What the insurance company pays out depends upon the type of policy you have and how much you pay for it. It is extremely important to have this insurance if you are a surgeon. Try to get an employment specific policy - say if you got hurt and couldn't operate anymore, but could go back and do a residency in radiology and interpret films or something like that (you can get screwed). Good policies are hard to find now and are expensive. A good financial planner can help out with this stuff.